1.Easy
What is separation anxiety disorder in a child?
- ANormal crying when a baby meets a stranger for the first time
- BFear of social situations in which other children may laugh at them
- CExcessive, developmentally inappropriate fear of being apart from attachment figures
- DA lack of interest in parents and other close carers, with no distress when they leave
2.Easy
What is hoarding disorder?
- AFear of leaving the home because of crowds and public transport
- BCollecting a few favourite objects as a hobby that the person enjoys
- CRepeated checking that all the doors and windows are locked before leaving the house each day
- DPersistent difficulty throwing things away, so that clutter fills the living space
3.Easy
A patient with Alzheimer's disease holds his toothbrush but no longer knows how to use it, although his arm muscles work normally. What is this called?
- AAphasia
- BApraxia
- CAkathisia
- DAmnesia
4.Medium
An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?
- AGenerativity versus stagnation
- BIdentity versus role confusion
- CIntimacy versus isolation
- DIntegrity versus despair
5.Medium
A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?
- ARaised prolactin
- BRaised blood calcium
- CLow blood sodium
- DLow thyroid hormone
6.Medium
Besides lithium levels, which tests are monitored regularly in long-term lithium treatment?
- AHearing tests
- BBone density only
- CKidney function and thyroid function
- DLung function only
7.Hard
A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?
- AStop giving him his medicine at all, because he is not taking it anyway, and record that he refused
- BAccuse him in front of other patients so that he is embarrassed and stops
- CCheck his mouth after each dose, as policy allows, and explore why he does not want it
- DCrush all his tablets into his food without telling him
8.Hard
A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?
- A"Yes, I think you'd be happier without him."
- B"You should ask your doctor what to do about it."
- C"What are your thoughts about the options you have?"
- D"No, divorce would only make things worse for you."
Answer key
- 1. C · Excessive, developmentally inappropriate fear of being apart from attachment figures
- 2. D · Persistent difficulty throwing things away, so that clutter fills the living space
- 3. B · Apraxia
- 4. D · Integrity versus despair
- 5. A · Raised prolactin
- 6. C · Kidney function and thyroid function
- 7. C · Check his mouth after each dose, as policy allows, and explore why he does not want it
- 8. C · "What are your thoughts about the options you have?"
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